- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $803.00 / $3,682.00 / $12,281.00
| Facility | | $803.00 | $3,682.00 | $12,281.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,380.71 / $4,243.05 / $8,384.57
| Facility | | $2,380.71 | $4,243.05 | $8,384.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $420.72 / $2,922.44 / $2,922.44
| Facility | | $420.72 | $2,922.44 | $2,922.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.03 / $520.03 / $520.03
| Facility | | $520.03 | $520.03 | $520.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,144.10 / $11,500.00 / $26,542.00
| Facility | | $2,144.10 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $437.92 / $555.16 / $858.15
| Facility | | $437.92 | $555.16 | $858.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $439.87 / $557.35 / $895.75
| Facility | | $439.87 | $557.35 | $895.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.00 / $3,326.00 / $7,600.00
| Facility | | $1,154.00 | $3,326.00 | $7,600.00 |